Individual
MS. MARTHA MEGAN STAIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LLM
Contact information
Practice address
531 S WASHINGTON AVE, FAYETTEVILLE, AR 72701-6175
(971) 409-9494
Mailing address
531 S WASHINGTON AVE, FAYETTEVILLE, AR 72701-6175
(971) 409-9494
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
022021
AR
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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